NPI | 1629486808 |
---|---|
Former Name | SARAH A IGNACIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9498) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MN R 207422-5) |
Enumeration Date | 2014-07-31 |
Last Update Date | 2024-01-26 |